Organization
THE FAMILY PRACTICE AT NORTHSHORE COUNSELING AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDRE JUDICE PH.D. (OWNER)
(985) 624-2942
Entity
Organization
Contact information
Practice address
201 HOLIDAY BLVD, SUITE 120, COVINGTON, LA 70433-5088
(985) 624-2942
(985) 231-1373
Mailing address
201 HOLIDAY BLVD, SUITE 120, COVINGTON, LA 70433-5088
(985) 624-2942
(985) 231-1373
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/11/2016
Last updated
11/11/2016
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